Counselors in Training

 

 

CIT Movie Permission Form


Please enter name
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I give permission for my child (named above) to attend the trip to the ViaPort mall on June 22, 2019 with the Florida Elks Youth Camp as noted:

I further give permission for my child to be transported to and from events by hired drivers authorized by the Florida Elks Youth Camp

By checking "YES" below, you are releasing the Florida Elks Youth Camp and its affiliates of guardianship and the mental, physical, and emotional liability to the above-named person.

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Emergency Contact Information


Please enter Parent or Guardian Name
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Please enter Phone
Please enter Email
Please enter relation

Other Emergency Contacts


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Please click the SUBMIT button only ONCE. Thank you.

Where are we located?
Florida State Elks Association, Inc.
24175 S.E. Hwy 450
PO Box 49
Umatilla, FL 32784
Florida Elks Youth Camp